Rural Health
Resources by Topic: Specialty care
Understanding the Impact and Costs Associated with Medical Device Shortages During the COVID-19 Pandemic on Providers, Health Systems, Patients, and Manufacturers
Analyzes the U.S. medical device shortage during the COVID-19 pandemic and provides a related literature review, key stakeholder interviews, and data synthesis. Includes information on type of medical device shortages, strategies to manage shortages, and more, with a focus on shortages in nursing homes and rural hospitals.
Author(s): Linda Thai, Trinidad Beleche, Oluwarantimi Adetunji
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the U.S. medical device shortage during the COVID-19 pandemic and provides a related literature review, key stakeholder interviews, and data synthesis. Includes information on type of medical device shortages, strategies to manage shortages, and more, with a focus on shortages in nursing homes and rural hospitals.
Author(s): Linda Thai, Trinidad Beleche, Oluwarantimi Adetunji
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Behavioral Health Diagnosis, Service Utilization, and Spending Among Older Adult Medicare Beneficiaries: A Chartbook
Examines the prevalence of behavioral health (BH) conditions among older adults. Utilizes 2017-2019 Medicare claims and administrative data to examine BH diagnoses, BH service utilization, cost of services, and more. Includes data breakdowns according to diagnosis, substance use, rates of diagnoses and service utilization, service type, rurality, and additional demographic factors.
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the prevalence of behavioral health (BH) conditions among older adults. Utilizes 2017-2019 Medicare claims and administrative data to examine BH diagnoses, BH service utilization, cost of services, and more. Includes data breakdowns according to diagnosis, substance use, rates of diagnoses and service utilization, service type, rurality, and additional demographic factors.
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Financial Stress Associated with Oncology Clinical Trial Participation
Examines accessibility issues and financial stress of 112 patients participating in an oncology clinical trial between 2018 and 2024. Includes demographic information, cancer type, miles traveled, and financial burden of participants, as well as commentary on access issues for those in rural areas.
Author(s): Allison Kolbe, Trinidad Beleche
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines accessibility issues and financial stress of 112 patients participating in an oncology clinical trial between 2018 and 2024. Includes demographic information, cancer type, miles traveled, and financial burden of participants, as well as commentary on access issues for those in rural areas.
Author(s): Allison Kolbe, Trinidad Beleche
Date: 01/2025
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Target Door-to-Needle Time in Acute Stroke Treatment via Telemedicine Versus In-Person Evaluation in a Rural Setting of the Midwest: A Retrospective Cohort Study
Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
Type: Document
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Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
Type: Document
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Tennessee Uninsured Adult Healthcare Safety Net: 2024 Annual Report
Reports on Tennessee's uninsured population, state safety net funding, and services provided in 2024. Lists safety net service locations, including community and faith-based clinics, Federally Qualified Health Centers, dental clinics, and more. Provides county-by-county data on primary, oral, and specialty care population-to-provider ratios, and includes county-level maps of Health Resource Shortage Areas. Mentions rural throughout.
Date: 01/2025
Type: Document
Sponsoring organization: Tennessee Department of Health
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Reports on Tennessee's uninsured population, state safety net funding, and services provided in 2024. Lists safety net service locations, including community and faith-based clinics, Federally Qualified Health Centers, dental clinics, and more. Provides county-by-county data on primary, oral, and specialty care population-to-provider ratios, and includes county-level maps of Health Resource Shortage Areas. Mentions rural throughout.
Date: 01/2025
Type: Document
Sponsoring organization: Tennessee Department of Health
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A Comparison of Rural and Urban Differences in Geographic Proximity to Outpatient Stroke Rehabilitation Services in Tennessee
Examines distance and travel time disparities for outpatient stroke rehabilitation (OSR) services in rural and urban areas of Tennessee. Analyzes 185 facilities for OSR and provides rural versus urban median travel distance and time according to OSR service type. Includes county-level maps showing mean travel distance by kilometers.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Robert E. Heidel, Raj Baljepally
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention 45(1), 65-71
Date: 01/2025
Type: Document
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Examines distance and travel time disparities for outpatient stroke rehabilitation (OSR) services in rural and urban areas of Tennessee. Analyzes 185 facilities for OSR and provides rural versus urban median travel distance and time according to OSR service type. Includes county-level maps showing mean travel distance by kilometers.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Robert E. Heidel, Raj Baljepally
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention 45(1), 65-71
Date: 01/2025
Type: Document
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Drive Time to Care and Retention in HIV Care: Rural–Urban Differences Among Medicaid Enrollees in the United States South
Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
Type: Document
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Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health, 41(1), e12877
Date: 2025
Type: Document
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Expanding the Opioid Use Disorder Medication Treatment Workforce in Rural Communities Through the RCORP Initiative
Examines the impact of the Rural Communities Opioid Response Program (RCORP) on the workforce supply of Drug Enforcement Administration (DEA)-waivered clinicians in rural areas, who are able to prescribe buprenorphine. Analyzes 2017–2022 DEA lists of waivered clinicians to report on counties with a waivered clinician, clinician-to-population ratios, and treatment slot-to-population ratios. Discusses the impact of RCORP funding on Opioid Use Disorder (OUD) recovery services in rural communities.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Kathleen Meyers, Davis G. Patterson
Citation: Journal of Rural Health, 41(1), e12867
Date: 2025
Type: Document
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Examines the impact of the Rural Communities Opioid Response Program (RCORP) on the workforce supply of Drug Enforcement Administration (DEA)-waivered clinicians in rural areas, who are able to prescribe buprenorphine. Analyzes 2017–2022 DEA lists of waivered clinicians to report on counties with a waivered clinician, clinician-to-population ratios, and treatment slot-to-population ratios. Discusses the impact of RCORP funding on Opioid Use Disorder (OUD) recovery services in rural communities.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Kathleen Meyers, Davis G. Patterson
Citation: Journal of Rural Health, 41(1), e12867
Date: 2025
Type: Document
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Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
Type: Document
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Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health, 41(1), e12857
Date: 2025
Type: Document
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Provider-to-Provider Telemedicine for Sepsis Is Used Less Frequently in Communities with High Social Vulnerability
Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
Type: Document
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Examines the relationship between provider-to-provider emergency department-based telehealth consultation (tele-ED) and the prevalence of sepsis in counties with elevated social vulnerability index (SVI) scores. Analyzes 2016-2019 data from 1191 patients treated in rural, Midwestern EDs, with breakdowns according to patient, provider, hospital, and county characteristics. Discusses the relationship between SVI scores and tele-ED use.
Author(s): Kevin J. Tu, J. Priyanka Vakkalanka, Uche E. Okoro, et al.
Citation: Journal of Rural Health, 41(1), e12861
Date: 2025
Type: Document
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